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Home My WebLink AboutMINUTES - 12011998 - C116-C120 BOARD OF SUPERVISORS "t FROM: William Walker, M.D. �ea. 4)841 aid, irector Contra By: Ginger Marieiro, Contracts Administrator Cost DATE: November 17, 1998 County SUBJECT: Approval of Contract 424-949-49 with Dorothy Giller, M.F.C.C. SPECIFIC REQUEST=S)OR RECOMMENDATIONS)ri BACKGROUND AND JUSTIFICATION RECOMMFMZD ACTION Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24-949-49 with Dorothy Giller, M.F.C.C. , for the period from September ?, 1998 through June 30, 1999, to provide Medi-Cal mental health specialty services, to be paid in accordance with the rates set forth in the attached fee schedule. FISCAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds. BACKGROUND/REASON(S) FOR RECOMMENDATIONS: On January 14, 1997, the Board of Supervisors adopted Resolution #97/17, authorizing the Health Services Director or his designee (Donna Wigand;, LCSW) to contract with the State Department of Mental Health to assume responsibility for Medi-Cal specialty mental health services as of July 1, 1997. Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services. Approval of Contract #24-949-49 will allow the Contractor to provide mental health specialty services through June 30, 1999. CONTINUE T G Y ..y RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE „,_,;,_OTHER ACTION OF BOARD ON APPROVED AS RECOMMENDED -GT+fEjt- VOTE OF SUPERVISORS UNANIMOUS (ASSENT ) i HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED PHtt.SATCHELOR;CLE�iK OF T E BOARD OF Contact person: Donna Wigand (313-6411) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management AucHtor Controller BY —,DEPUTY Contractor Board order page two {2 CCM1tP OUTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE$CtIEDULE--Revised 12/9197. CPT CODE PROCEDURE � M.D Ph. L»C.S.W, M.F.C.C. Level iCodes 90830 Test Administration- f hour max 6 $34 90887 Test Scoring- lhour(max 2) $30 90843 JWividuaf Psy�hottrerajy: 1/2 hoar _ $30 _ 90844 Itidivitlual Psychothetapy- 1t #tour _ _ $60 $30 $30 $30 90846 Earrtiiy LberaPy wiiiic�rrt >atierit $30 $30 $30 90847 Family Therapy-conjoint $30 $30 $30 00863 Group Therapy-Perf)etson-[ter visit-1 1/2hr Max $12'' $12 $t2 $0862 Pharmacotollical ma►�ement $30_ 90870 ECT-Sinylee Seizme $60 X35_44 Case Conference- 1/2 hour $30 $15`` $15 $15 X9546 Case Conlesetice- #hour $60 $30 $30 $30 !LOSritad fnlrl,service 99221 los 3it_al Cate:Visittririiatl.30 m4itrtes $34 59222 Hospital Cate yVisit-lniiial 50rminittes _ $60Y _ 99232 Hospital Care Visit SubsetImml-30 mintsies $30 Outpatitmt Coosults 99242 Office Consull ttimi New Patient30 mistules $30 _ 99244 Office Constillation New Patient-60 inimiles $60 irtiratient Consults 39251 litpalietit Cousullatiott New Palieni 30 minutes-� � $30 _ 99253 Inpatictil Consultation New Paliestl-60 trtinules $60 NutsinclacAsss Fse99301 Evaluation and Matmgtq trent 30 minules $30 99363 Evaluation and Harlot tstes11-6Q mistttles $60 99311 Subsequent Nufshig Fa atilt'Care-15 minutes $15 _ ___ _ 99313 Sut>secluent Nursing Facility Care-30 mitattes $30 Resi 1i-t 0 St et 1>,1 Svc.. 94323 Evalimlion of New Patient _ $60 - - 99333 Evaluation of Established Patient $30 tlntxte Services 99341 Evalualim of New Patient $60 99353 Evaluation of Established Patient - $30 These are the Duty outpatient services which CCM14P will authorize and the only codes for which providers will be reimbursed. Tc BOARD OF SUPERVISORS FROM: William, Walker, M.D. , Health Services Director ' 77 E7IlI•r By: Ginger Marieiro, Contracts Administrator Costa DATE: November 16, 1998 County SUBJECT: Approval of Contract #24-949-55 with Michael Loose, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION($)&`BACKGROUND AND JUSTIFICATION REC9W NDZD ACTION Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute on behalf of the County, Contract #24. 949-55 with Michael. Loose, M.D. , for the period from September 1, 1998 through. June 30, 1999, to provide Medi-Cal mental health specialty services, to be paid in accordance with the rates set forth in the attached fee schedule. FISCAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds . BACKGROUNY3 REASON(S) Att RECQMM ATIONS: On January 14, 1997, the Board of Supervisors adapted Resolution #97/17, authorizing the Health Services Director or his designee (Donna Wigand, LCSW) to contract with the State Department of Mental Health to assume responsibility for Medi-Cal specialty mental health services as of July 1, 1997 . Responsibility for outpatient specialty mentalhealth services involves contracts with individual, group and organizational providers to deliver these services. Approval of Contract #24--949-55 will allow the Contractor to provide mental health specialty services through June 30, 1999. 4 C N i U T' YE4e S192-N&TURg RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE __OTHER ACTION OF BOARD ON O tt APPROVED AS RECOMMENDEDX -Ef'FNSR— VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT______j AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AID ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: � OF SUPERVISORS ON THE DATE SHOWN. ATTESTED PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (3.13-6411.) CC: Health Services(Contracts) Truck Management Auditor Controller BY 'DEPUTY Contractor Beard Order page two {2} CCMHP OUTPAVENT MClAL`i`Y MENTAL HEALTH 9ERVECES FEE SCHEDULE--Revised 1219197. CPT CODE PROCEDURE MD PhD L.C.S.W. M.F.C.C. Level 1Codes 90830 Test Administration- 1 !tour rnaic 6} $30 90887 Test Scaring- !hour rrtax 2 $30 90843 trsdivtdual Psychotherapy-112 hour $30 90844 lrtdtviduat Ps cholherapy- i hour $60 $30 $30 $30 90846 Family Theravy without-patient $30 $30 $30 90847 Family There) -conjoint $30 $30 $30_ 90853 Group Therapy-leer Ison-per visit-1 112hr max $12 $12 $, 12 90862 Pttart tacoto0icat manacyetnent $30 - - 90870 ECT-Sire to Seizure $60 X9544 Case Conference- 1/2 hour $3t7 $15 $15 $15 - X9546 Case Conference- lftou $60 $30 $30 $13 t•tospital hrptiSeryiice 99221 Hos twat Care ltsit-Initia€-30 tninutes $30 99222 Hospital Gare Visit-Initial-50 ntututes $60 _ 99232 Hospital Cate Visit-Subsequent-30 minutes $30 C3a#lent Cotstt#ts 99242 Office Consultation New Patient-30 minutes $30 99244 6ffice Constutlation New Patient-60 minutes $60 inpatient Consults 99251 Inpatient Consultation New Patient-30_mintites $30 9525.3 InpatientConsultation New Patient-£0 minutes� $60� Natrsit! Fac Assess 99301 Evaluation and Martaye"t enl-30 minutes $30 99303 Evalu3alion and Maga ernent-60 initmtes $60 99311 quent Musing Facility Care-15 minutes $15 99313 Suhseyuent Nursittrg Facility Care-30 minutes $30 Rest Hrante et At Svc. 99323 Evaluation of New Patient $60 99333Evaluation of Established Patient $30 Horne Services 99341 Evaluation of New Patient 99353 Evaleuation of Established Patient $317 *"These are the only outpatient services which 0CMHP will authorize and the only Bodes for which providers wilt be reimbursed. 4 f o: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director Contra By; Ginger Marieiro, Contracts Administrator Costa DATE: November lei, 1998 CC1U#1ty SUBJECT: Approval of Contract #24-949--70 with David J. Pope', Ph.D. SPECIFIC REQUEST(S)OR RECOMMENDATION{St&BACKGROUND AND JUSTIFICATION RZCQI_0V=ED ACTION. Approve and authorize the Health Services Director, or his designee (Donna Wigand) , to execute can behalf of the County, Contract #24-949-70 with David J. Pope, Ph.D., for the period from October 1, 1998 through June 30, 1999, to provide Medi-Cal mental health specialty services, to be paid in accordance with the rates set forth in the attached fee schedule. F 1 gCAL IMPACT: This Contract is funded by State and Federal FFP Medi-Cal Funds . BAcy,GRGT&3/'RZASON(S) ZgR RECt7MMK� DATIONS: On January 14, 1997, the Board of Supervisors adopted Resolution #97/17, authorizing the Health Services Director or his designee (Donna Wigand, LCSW) to contract with the State Department of Mental Health to assume responsibility for Fedi-Cal specialty mental health services as of July 1, 1997 . Responsibility for outpatient specialty mental health services involves contracts with individual, group and organizational providers to deliver these services. Approval ofContract #24-949-70 will allow the Contractor to provide mental health specialty services through June 30, 1999 . fe-ONTINUED ON ATTACHMENT' SIGNATURE y RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER G ACTION OF BOAR? 111E APPROVED AS RECOMMENDED GTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS (ASSENT } AND CORRECT COPY OF AN ACTION TAKEN AYES. NOES: AND ENTERED ON THE,MINUTES OF THE BOARD ASSENT: ABSTAIN: OF SUPERVI ORS ON THE DATE SHOWN. ATTESTED PHIL BATCHELOR,CLERK OF T E BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand (>313-6411) CC: Health Services(Contracts) Risk Management Auditor'Controller BY DEPUTY Contractor elle Board Girder page two (2) C M#lP(7tlTPATIENT SPECIALTY MENTAL HEALTH SERVICES FEE SCHEDULE--Revised 1279197. CPI`CODE PROCEDURE � M.0 1311.13 L.C.s.W, M.F.C.C. Level l odes 90830 Test Administration- 1 hourylax 6 $30 $0887 Test Scoring- shout(max 2) $30 90843_tndividui!I Ps sy ioitlerajry- it?Iiom $30_ _ 90844 Itidivklual Ps ciaotheta s - 1 Isola �$60 $30 $30 $30 90846 Family Theia r -wilhout patient $30 $30 $30 90847 Farre€Iy Tlierafty•ctiat'r7€tit — $30 $30_ $30 9U853 Grestr>T�Iieaa y-fuer Person-_er visil-1 1121 s►a tx $12 $12 $t2 90862 pilarntac olor i�coat ma:lagemeol $30 90870 ECT-Single Se zme $60 X354_4 Case Cmiference- 1f2 hour $3tI $15 $is $1>5 _ X35iB-Case Conference- thokir $60 $30 $30 $30 ttosl).ita!Iil ill.Service 992_21 Hospital Cate Visit Iautia1-30 minutes $30 992_22 Hospital Care Visit-Irtifial 50 rurrlsile_s $i_�_4_7 _ 99232 Hospital Caie Visit-Sul}segtient-30 minules �$30 b7 - trt_lrataerll Ctsiisitits 99242 (71f€ue Consultation_New Patient 30 istimiles $30_ _ 99244 Office Consullatioti New Patient-60 mistules $60 Itilmlient Constilts 899_2_5_1 Inpatient Consull niton New Patient 30 mimilc s $30 99253 into<atient Coitsuitation New Palient-60 mitiutus _ -$60 NutsituFac Assess 99301 Evaluation and Management-30 minutes $30 w 893U3Evatnai€cin attt Marlat o ij nW-60 minutes $60 __L 893.11 Subsequent Ntusing Facility Caxe 15 minutes $15 99313 Subsequent Ntirsincl Facility Cate-30 minutes $30 Rest Ilearite et A!Svc. 99323 Evaluation of New Patient $60 _ 99393 Evaluation of Established Patietit $30 Itome Services 99341 Evaluation of New Patient $60 99353 Isvaluafion of Established Patient $30 Titese are the only outpatient services which CCMIiP will authorize and tyle only codes for which providers will be reimbursed l To: BOARD OF SUPERVISORS William Walker, M.D. , Health Services Director + FROM: By: Ginger Marieiro, Contracts Administrator •�+ ./r Contra Costa DATE. November 16, 1998 { Un ,/ SUBJECT* Approval of Contract 27-410 with Sycamore Medica. Group, Inc. SPECIFIC REQUEST{SI OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Milt Camhi) , to execute on behalf of the County, Contract ##27-41.0 with Sycamore Medical Group, Inc . , for the period from October 1, 1998 through September 30, 1999, for provision professional primary care services for Contra Costa Health Plan members, to be paid as fellows: L For Medl-Cal$erterlelar#es. a. County will pay Physicians for covered services,at the rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect at the time services are rendered plus 5%;and b. County will pay a quarterly case management fee,as follows; Panel Size* Quarteriy Fee 1 to 499 $3.00 per beneficiary per quarter 500 to 999 $3.25 per beneficiary per quarter 1000 or more $3.50 per beneficiary per quarter 2. For At lthv Family Pr 2rum Members. County will pay Physicians for covered services,at the rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect at the time services are rendered plus 10%. 3. For Plan B C2geere Members. County will pay Physicians for covered services, at the rates set forth in the Medi-Cal Schedule of Maximum Allowances in effect at the time services are rendered plus 10%, FISCAL IMPACT: This Contract is funded by Contra Costa Health Plan member premiums. Costs depend upon utilization. As appropriate, patients and/or third party payors will be billed for services. BACKGRgUND/REASON(S) FOR RECOMMENDATION(S) - On February 1, 1997 the Local Initiative for Medi-Cal manage& care in Contra Costa County was implemented. Local. Initiatives are required to include traditional Medi-Cal providers from the community in their provider networks.. This Contract is necessary to meet State mandates to expand the number of community providers for the Local Initiative, along with a Department of Corporations audit finding that requires formal contracts with low volume providers . Approval of this Contract will allow the Contractor to provide professional primary care services to Health Plan members through September 30, 1995. t x CONTINUED O A SIGNAToRg �( RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE ` APPROVE __OTHER '-7 Z ACTION OF BOARD ON APPROVED AS RECOMMENDED VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN, ATTESTED PHIL BATCHELOR,CLERK OFT E BOARD Of SUPERVISORS AND COUNTY ADMINISTRATOR Contact Penson: Milt Camh i (313-6004) CC: Health Services{Contracts} Risk Management Auditor Controller BY .DEPUTY Contractor ........................................................................................................................................................................................................... .. .... ... .... TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director By: Ginger Mariairo, Contracts Administrator Contra Costa DATE: November 12, 1998 County SUBJECT, Approval of Contract Amendment Agreement 125-010-3 with Center Point, Inc. SPECM REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION`` Approve and authorize the Health Services Director or his designee (Wendel Brunner, M.D.) to execute, on behalf of the County, Contract Amendment Agreement #25-010-3 with Center Point, Inc. , effective November 1, 1998, to increase the payment limit by $57,946, from $724,000 to a new Contract payment limit of $781,946. FISCAL 1XrAQj: This Contract Amendment Agreement is funded by County Funds. ANCUNGROUNDLREAGONM FOR R-]jCOXMVXDATXQN(S) : On July 14, 1998, the Board of Supervisors approved Contract 125-010-2 with Center Point, Inc. for the period from July 1, 1998 through June 30, 1999, to provide shelter and support services for homeless indigent individuals in central County (Concord) and West County (Richmond) for the County's Homeless Services Program, under direction of the Health services Department. Demand for Contractor's services by County's homeless population has exceeded expectations. Approval of Contract Amendment Agreement #25-010-3 will allow Contractor to provide services to additional homeless adults through June 30, 1999. CONTINUED ON&T-1-ACHMENT: SIGNATURE,�' �-, RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER Z14SIGNMR&SI: ACTION OF BOARD dN ty I t APPROVED AS RECOMMENDED 6THE VOTE OF SUPERVISORS UNANIMOUS {ABSENT I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ASSENT: ABSTAIN: Of SUPERVISORS ON THE DATE SHOWN. ATTESTED PHIL BATCHELOR,CLERK OF THE BO RD OF Contact Person: Wendel Brunner, M.D. (313-6712) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller By DEPUTY Contractor